PAVILION RADIOLOGY PC (NPI# 1184028201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184028201 |
| Entity Type | Organization |
| Organization Name | PAVILION RADIOLOGY PC |
| Practice Address |
2103 Deer Park Ave Deer Park NY 11729-1319 |
| Practice Telephone | 6316670202 |
| Mailing Telephone | 6316670202 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | DR. ROBERT SOLOMON (OWNER) |
| Authorized Official Telephone | 6316670202 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2103 DEER PARK AVE |
| City | DEER PARK |
| State | NY |
| Zip Code | 11729-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917301 | Ron Mark | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2005-07-28 |
| 1225666530 | Deer Park Pt, Family Health Np and Chiropractic Pllc | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2020-03-31 |
| 1285264192 | Deer Park Medical, P.C. | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2020-01-20 |
| 1235799883 | East Meadow Pt Family Health Np Acupuncture and Chiropractic | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2019-06-17 |
| 1174090146 | Jessica Morales | Massage Therapist | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2018-10-29 |
| 1942726294 | Ruben Hector Saavedra | Physician Assistant | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-08-18 |
| 1366977951 | Orthopaedics Spine and Sports Medicine, LLC | Durable Medical Equipment & Medical Supplies | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-04-21 |
| 1184161465 | Hector Moises Murillo | Physician Assistant | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-01-25 |
| 1508251612 | Dp Pt & Chiropractic, Pllc | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2015-04-06 |
| 1750782256 | Deer Park Physical Therapy & Chiropractic | Specialist | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561513 | Elyse Joy Wright | Specialist | 1014 Grand Boulevard Suite 5, Deer Park, NY 11729 | 2019-08-01 |
| 1568929131 | Corrine E. Hibbert | Case Manager/Care Coordinator | 140 Villa Avenue, Deer Park Ny, NY 11729 | 2019-03-01 |
| 1922525286 | Melissa Ramistella | Behavioral Analyst | 6 Angelica Street, Deer Park, NY 11729 | 2017-08-28 |
| 1609224153 | Corvitals, Inc. | Clinical Medical Laboratory | 590 Nichols Road, Suite 1, Deer Park, NY 11729 | 2016-05-25 |
| 1417375312 | Venel Maitre | Registered Nurse | 54 Duke St, Deer Park, NY 11729 | 2014-03-29 |
| 1578819157 | Koa K Robinson | Registered Nurse | 375 Carlls Place, 329, Deer Park, NY 11729 | 2012-08-01 |
| 1649532409 | Theresa L Lerro | Counselor | 1 Brandyine Drive, Deer Park, NY 11729 | 2012-06-07 |
| 1417218827 | Abilities Unlimited of N.y. | Durable Medical Equipment & Medical Supplies | 90 E. Jefryn Blvd., Deer Park, NY 11729 | 2012-06-01 |
| 1356600811 | Jennifer A. D'auria | Speech-Language Pathologist | 101 Lake Ave., Jfk Intermediate School, Deer Park, NY 11729 | 2012-05-03 |
| 1013280254 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Circle, Deer Park, NY 11729 | 2012-02-20 |
| Find all providers in zip 11729 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134184476 | Jerrold I Grayson | Radiology | 650 Sanitarium Rd, Deer Park, CA 94576-9714 | 2006-04-19 |
| 1225093081 | Open Advanced Mri of Deer Park, LLC | Radiology | 20530 N Rand Rd, Suite 350, Deer Park, IL 60010-7233 | 2006-04-17 |
| 1013917301 | Ron Mark | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960690 | New York Medical Diagnostic Imaging PC | Radiology | 13617 39th Ave Ste 1d, Flushing, NY 11354-5504 | 2020-10-20 |
| 1700490034 | Hudson Valley Radiologists, PC | Radiology | 33 Bridgewater Way, Poughkeepsie, NY 12601-5961 | 2020-09-03 |
| 1730702986 | Hudson Valley Radiologists, PC | Radiology | 17 Argent Dr, Poughkeepsie, NY 12603-6040 | 2020-05-22 |
| 1114540366 | Hudson Valley Radiologists, PC | Radiology | 12 Caliguiri Ct, Lagrangeville, NY 12540-4912 | 2020-05-22 |
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1124641378 | Hudson Valley Radiologists, PC | Radiology | 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 | 2020-05-22 |
| 1023631272 | Hudson Valley Radiologists, PC | Radiology | 3 Riding Ridge Trl, Beacon, NY 12508-7023 | 2020-05-22 |
| 1740803998 | Hudson Valley Radiologists, PC | Radiology | 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 | 2020-05-22 |
| 1215550462 | Hudson Valley Radiologists, PC | Radiology | 50 Leonard St Unit 106, Beacon, NY 12508-3455 | 2020-05-22 |
| 1285257519 | Hudson Valley Radiologists, PC | Radiology | 14 Hilee Rd, Rhinebeck, NY 12572-2347 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.